{ "schema_version": 1, "kind": "condition", "id": "infantile-seborrhoeic-dermatitis", "name": "Infantile Seborrhoeic Dermatitis (Cradle Cap)", "category": "chronic", "sources": "Egyptian National Drug Formulary - Antimicrobial 2023 (miconazole monograph) · Hydrocortisone 1% cream SmPC section 4.2 (eMC product 13103) · DermNet: Cradle cap (infantile seborrhoeic dermatitis)", "review_status": "reviewed", "verified_against": "DermNet: Cradle cap (infantile seborrhoeic dermatitis) · Egyptian National Drug Formulary - Antimicrobial 2023 (miconazole monograph) · Hydrocortisone 1% cream SmPC section 4.2 (eMC product 13103)", "verified_date": "2026-08", "treatments": [ { "id": 971, "generic": "Liquid paraffin", "line": 1, "is_adjunct": false, "form": "topical", "strength_mg": null, "adult_dose": "Massage baby oil, olive oil, or emollient onto the scalp scales, leave to soften, then gently brush with a soft brush and wash off with baby shampoo", "adult_duration": "daily until scales clear; repeat as needed", "dose_source": "DermNet: Cradle cap (infantile seborrhoeic dermatitis)", "rationale": "First-line and usually sufficient on its own; most cases resolve with scale-softening and washing alone, without any medicated product", "cautions": [ "Do not pick or scratch off scales - this can cause secondary infection.", "Reassure caregivers this is self-limiting and usually clears within weeks to a few months.", "Seek review if the rash spreads beyond the scalp or looks infected." ], "peds_mgkg_low": null, "peds_mgkg_high": null, "peds_max_mg": null, "peds_basis": null, "peds_unit": null, "peds_note": "Infants only; avoid getting oil or emollient in the eyes", "peds_min_weight_kg": null, "peds_max_weight_kg": null, "peds_age_min_months": null, "peds_age_max_months": null, "peds_age_bands": null, "peds_doses": null, "brands": [ { "trade_name": "ADCOCARE CREAM 20 GM", "scientific_name": null, "normalized_ingredient": null, "manufacturer": "ARAB DRUG COMPANY (ADCO)", "price_egp": 12.0, "pack_count": null, "unit_price": null, "strength_mg": 20000.0, "exact_strength": true, "exact_form": true, "discontinued": false, "also_contains": "glyceryl monostearate, propylene glycol, urea" }, { "trade_name": "DERMOLAN CREAM 50 GM", "scientific_name": null, "normalized_ingredient": null, "manufacturer": "HI-CARE > EMICO PHARMA", "price_egp": 19.0, "pack_count": null, "unit_price": null, "strength_mg": 50000.0, "exact_strength": true, "exact_form": true, "discontinued": false, "also_contains": "allantoin, glycerol, glycolic acid, panthenol, salicylic acid, urea, vitamin c, zinc oxide" }, { "trade_name": "ADCOCARE CREAM 40 GM", "scientific_name": null, "normalized_ingredient": null, "manufacturer": "ARAB DRUG COMPANY (ADCO)", "price_egp": 21.75, "pack_count": null, "unit_price": null, "strength_mg": 40000.0, "exact_strength": true, "exact_form": true, "discontinued": false, "also_contains": "glyceryl monostearate, propylene glycol, urea" }, { "trade_name": "CARE MIX PLUS HAIR CREAM 50 GM", "scientific_name": null, "normalized_ingredient": null, "manufacturer": "VITA PHARM > CARE MIX", "price_egp": 29.5, "pack_count": null, "unit_price": null, "strength_mg": 50000.0, "exact_strength": true, "exact_form": true, "discontinued": false, "also_contains": "cetostearyl alcohol, lanolin, panthenol, wheat protein, white soft paraffin" }, { "trade_name": "PROPOLIS CREAM 15 ML", "scientific_name": null, "normalized_ingredient": null, "manufacturer": "LUNA FOR PERFUMES AND COSMETICS > TECHNOMED GROUP", "price_egp": 30.0, "pack_count": null, "unit_price": null, "strength_mg": null, "exact_strength": true, "exact_form": true, "discontinued": false, "also_contains": "cera alba, glycerin, propolis" }, { "trade_name": "PROPOLIS CREAM 30 ML", "scientific_name": null, "normalized_ingredient": null, "manufacturer": "LUNA FOR PERFUMES AND COSMETICS > TECHNOMED GROUP", "price_egp": 55.0, "pack_count": null, "unit_price": null, "strength_mg": null, "exact_strength": true, "exact_form": true, "discontinued": false, "also_contains": "cera alba, glycerin, propolis" }, { "trade_name": "HEALTHPOINT NAPPY CREAM 100 GM", "scientific_name": null, "normalized_ingredient": null, "manufacturer": "HEALTHPOINT LTD. > PAXTON", "price_egp": 70.0, "pack_count": null, "unit_price": null, "strength_mg": 100000.0, "exact_strength": true, "exact_form": true, "discontinued": false, "also_contains": "benzyl alcohol, cetearyl alcohol, glyceryl stearate, lanolin, peg-100 s, water, zinc oxide" }, { "trade_name": "HERCUL WHITENING CREAM 60 GM", "scientific_name": null, "normalized_ingredient": null, "manufacturer": "LEADER FOR COSMETICS > JUNIER PHARMA", "price_egp": 74.75, "pack_count": null, "unit_price": null, "strength_mg": 60000.0, "exact_strength": true, "exact_form": true, "discontinued": false, "also_contains": "alpha arbutin, diemthicone, glycerin, licorice ext, octyl methoxy, titanium dioxide, vit.c" } ], "condition_id": "infantile-seborrhoeic-dermatitis" }, { "id": 972, "generic": "Miconazole", "line": 2, "is_adjunct": false, "form": "topical", "strength_mg": null, "adult_dose": "Apply 2% cream once or twice daily to affected areas", "adult_duration": "up to 4 weeks; seek specialist advice if not resolved by 4 weeks", "dose_source": "Egyptian National Drug Formulary - Antimicrobial 2023 (miconazole monograph)", "rationale": "Second-line when scale or inflammation persists despite emollient measures, or when the rash extends beyond the scalp (e.g. flexures, napkin area)", "cautions": [ "Avoid contact with the eyes.", "Stop and seek review if irritation worsens.", "Reassess if no improvement after 4 weeks of treatment." ], "peds_mgkg_low": null, "peds_mgkg_high": null, "peds_max_mg": null, "peds_basis": null, "peds_unit": null, "peds_note": "Ketoconazole is deliberately not used here - the adult scalp and face seborrhoeic dermatitis entry restricts ketoconazole to children over 12 years. Note the Egyptian formulary's paediatric section for topical miconazole starts at 2 years, so use below that age is outside the labelled age range.", "peds_min_weight_kg": null, "peds_max_weight_kg": null, "peds_age_min_months": null, "peds_age_max_months": null, "peds_age_bands": null, "peds_doses": null, "brands": [ { "trade_name": "MICONOL 2% CREAM 15 GM", "scientific_name": null, "normalized_ingredient": null, "manufacturer": "MEMPHIS", "price_egp": 5.0, "pack_count": null, "unit_price": null, "strength_mg": 15000.0, "exact_strength": true, "exact_form": true, "discontinued": false, "also_contains": null }, { "trade_name": "DERMOZOL 2% GEL 15 GM", "scientific_name": null, "normalized_ingredient": null, "manufacturer": "PHARCO", "price_egp": 6.0, "pack_count": null, "unit_price": null, "strength_mg": 15000.0, "exact_strength": true, "exact_form": true, "discontinued": false, "also_contains": null }, { "trade_name": "MICOBAN 2% CREAM 20 GM", "scientific_name": null, "normalized_ingredient": null, "manufacturer": "AMRIYA", "price_egp": 9.0, "pack_count": null, "unit_price": null, "strength_mg": 20000.0, "exact_strength": true, "exact_form": true, "discontinued": false, "also_contains": null }, { "trade_name": "MICONAZ 2% CREAM 20 GM", "scientific_name": null, "normalized_ingredient": null, "manufacturer": "MUP", "price_egp": 15.0, "pack_count": null, "unit_price": null, "strength_mg": 20000.0, "exact_strength": true, "exact_form": true, "discontinued": false, "also_contains": null }, { "trade_name": "MICONAZ 2% ORAL GEL 20 GM", "scientific_name": null, "normalized_ingredient": null, "manufacturer": "MUP", "price_egp": 23.0, "pack_count": null, "unit_price": null, "strength_mg": 20000.0, "exact_strength": true, "exact_form": true, "discontinued": false, "also_contains": null }, { "trade_name": "DAKTARIN 2% CREAM 15 GM", "scientific_name": null, "normalized_ingredient": null, "manufacturer": "MINA PHARM > JANSSEN CILAG", "price_egp": 28.0, "pack_count": null, "unit_price": null, "strength_mg": 15000.0, "exact_strength": true, "exact_form": true, "discontinued": false, "also_contains": null }, { "trade_name": "DAKTARIN 2% ORAL GEL 40 GM", "scientific_name": null, "normalized_ingredient": null, "manufacturer": "JANSSEN CILAG > SOFICOPHARM", "price_egp": 53.5, "pack_count": null, "unit_price": null, "strength_mg": 40000.0, "exact_strength": true, "exact_form": true, "discontinued": false, "also_contains": null }, { "trade_name": "ADCOZOLE 2% TOPICAL CR. 15 GM", "scientific_name": null, "normalized_ingredient": null, "manufacturer": "ARAB DRUG COMPANY (ADCO)", "price_egp": 7.25, "pack_count": null, "unit_price": null, "strength_mg": 15000.0, "exact_strength": true, "exact_form": true, "discontinued": false, "also_contains": null } ], "condition_id": "infantile-seborrhoeic-dermatitis" }, { "id": 973, "generic": "Hydrocortisone", "line": 3, "is_adjunct": false, "form": "topical", "strength_mg": null, "adult_dose": "Apply 1% cream thinly once daily to visibly inflamed areas only", "adult_duration": "short course only, up to 1 week, then stop", "dose_source": "Hydrocortisone 1% cream SmPC section 4.2 (eMC product 13103)", "rationale": "Reserved for the minority of cases with marked inflammation not settling with emollient and antifungal measures. This is a rare, third-line, medically-supervised step - unlike the adult scalp/face entry, where topical steroids are a routine option", "cautions": [ "Reserve for inflamed cases not responding to emollients or antifungal cream - not a first-line treatment in infants.", "Use only a thin layer for a short course; infant skin absorbs topical steroid more readily than adult skin.", "Stop as soon as inflammation settles.", "Limit a course in a child to 7-10 days.", "The scalp absorbs far more corticosteroid than limb skin - this matters most in an infant." ], "peds_mgkg_low": null, "peds_mgkg_high": null, "peds_max_mg": null, "peds_basis": null, "peds_unit": null, "peds_note": "Rarely needed; most infantile seborrhoeic dermatitis resolves without steroids. Use the lowest effective potency for the shortest time", "peds_min_weight_kg": null, "peds_max_weight_kg": null, "peds_age_min_months": null, "peds_age_max_months": null, "peds_age_bands": null, "peds_doses": null, "brands": [ { "trade_name": "NOVACORTIN 1% CREAM 15 GM", "scientific_name": null, "normalized_ingredient": null, "manufacturer": "PHAROPHARMA", "price_egp": 4.75, "pack_count": null, "unit_price": null, "strength_mg": 15000.0, "exact_strength": true, "exact_form": true, "discontinued": false, "also_contains": null }, { "trade_name": "NOVACORTIN 1% OINT. 15 GM", "scientific_name": null, "normalized_ingredient": null, "manufacturer": "PHAROPHARMA", "price_egp": 4.75, "pack_count": null, "unit_price": null, "strength_mg": 15000.0, "exact_strength": true, "exact_form": true, "discontinued": false, "also_contains": null }, { "trade_name": "MICORT 1% CREAM 20 GM", "scientific_name": null, "normalized_ingredient": null, "manufacturer": "MISR", "price_egp": 12.5, "pack_count": null, "unit_price": null, "strength_mg": 20000.0, "exact_strength": true, "exact_form": true, "discontinued": false, "also_contains": null }, { "trade_name": "HYDROCORTISONE 1% OINT. 20 GM", "scientific_name": null, "normalized_ingredient": null, "manufacturer": "MISR", "price_egp": 21.0, "pack_count": null, "unit_price": null, "strength_mg": 20000.0, "exact_strength": true, "exact_form": true, "discontinued": false, "also_contains": null } ], "condition_id": "infantile-seborrhoeic-dermatitis" } ] }